Charter of Services English le Terrazze Casa di Cura Privata per la Riabilitazione e Poliambulatori Charter of Services 2011 Dear Customer, We are pleased to present our Charter of Services, with which we wish to describe the services we offer, how you can access them and how they are fulfilled. Any suggestions on how to improve the services we offer is greatly appreciated. History Mission and facilities The Le Terrazze care home is a nursing home The Le Terrazze care home is committed to 05 History and facilities and specialized rehabilitation centre. It is ensuring scientifically and technically well situated in Cunardo, in the province of Varese advanced services, rehabilitation programs and 05 Mission about 13 Km from the capital city. Located on the performance to maintain high quality standards road that connects Varese to Luino, it is 65 Km in specialized rehabilitation. To this aim from Milan, 38 Km from Malpensa airport and 7 considerable investments are made in structural, 06 Our activities Km from the Swiss border. Built between 1990 technological, organizational and management and 1996, the facility has 152 beds and is built on innovations, focusing on patient centrality and three floors which are accessible via routes that safety, on the continuous improvement of the 07 Neuromotor Rehabilitation have no architectural barriers; separate groups quality of the assistance we offer, and developing of elevators lead from the basement to the our human resources. large sunny terraces covering the buildings and 10 Cardiac Rehabilitation offering an incomparable view. The large garden, The primary commitment of the care home is accordingly-equipped, offers patients, relatives to provide: 12 Respiratory Rehabilitation and staff further space to enjoy. – care and assistance to patients in full respect of human dignity and the principles of quality, equity, humanization, effectiveness and efficiency; 14 Staff – clear and exhaustive information to patients on their diagnostic, therapeutic and rehabilitative 15 Admittance, stay and discharge journey, to enable them to consent and be involved in their treatments; – complete information on our services and 18 Patient rights and duties performance; – opportunities to receive feedback from patients and their families, also through satisfaction 19 Out-patient services questionnaires; – prompt evaluation and management of any complaints, which are considered a useful tool in 22 A facility in constant evolution continuously improving the service we offer. 23 Contacts Moreover the Care Home places primary importance on staff training: all staff takes part in on–going refresher programs accredited by the Ministry of Health. In 2009 the Le Terrazze care home was accredited by the Regional Government of Lombardy as a regional provider for training courses in Continuing Medical Education (CME/ CPD). 5 Our activities: Rehabilitation Neuromotor Rehabilitation Rehabilitation involves using all means available The multidisciplinary team is formed by doctors, Who the Neuromotor Rehabilitation to distinguish pathologies as ganglia-type to reduce the impact of disability to allow specialists in Physiatrics, Internal Medicine, program is designed for (such as Parkinson’s disease) and SNC-type disabled people to achieve social integration. Cardiology, Pneumology and Neurology (such as multiple sclerosis). These pathologies Rehabilitation at the Le Terrazze care home is who take part in the specific Rehabilitation The Neuromotor Rehabilitation programs are begin insidiously and progress chronically, not limited to simple functional re-education Projects, together with other professionals designed for: therefore often requiring repeated hospitalized (which is only one of our technical tools), but it (Otolaryngologists, Orthopaedists, General rehabilitation. intervenes on the individual in his/her entirety. Surgeons, Vascular Surgeons, Cardio Surgeons, – Patients suffering from post cerebro accident For this reason, to provide an effective individual Radiologists, Nutritionists…) and medical (of ischemic and hemorrhagic causes): patients Who the Motor Rehabilitation rehabilitation project, specific for each patient, operators who form the rehabilitation team, such are preferably in the post acute stage and they program is designed for it will focus on multiple well-planned objectives as physiotherapists, occupational therapists, are admitted directly from the wards of nearby so that the level of autonomy which can be speech therapists, psychologists, social workers, hospitals. Patients in more or less stabilized The Motor Rehabilitation programs are reached in different areas translates into a better orthopaedic technicians, who intervene in their conditions are also admitted. For the latter, due designed for patients with the following quality of life. Consequentially, the Project, not fields of competence. to clinical aggravation or the insurgence of other pathologies: only deals with strictly clinical aspects aimed at In following with the project, the care home pathologies, during the re-evaluation carried stabilizing the basic condition and reducing the establishes individual rehabilitative programs out at the out-patient clinic the physiatrist – Patients who have undergone orthopaedic risk of subsequent pathological events, it also that foresee a period of hospitalization which may require them to be hospitalized for a new surgery: we treat patients through the focuses on psychological and social aspects. varies in duration according to the basic rehabilitation program. post-acute stage when they are transferred The fundamental conditions required to reach pathology and to the patient’s recovery potential, – Patients suffering from the after effects of directly from hospital wards following prosthetic these objectives are: the presence of an within a more global endeavour which may some serious brain damage (coma due to extended surgery (the most frequent are hip and knee interdisciplinary team that assesses existing cases require the treatment to be continued at haemorrhaging, post-traumatic or infectious replacements), osteosynthetic surgery or comorbidities and intervenes in several the outpatient clinic and /or through a home cerebral hypoxia,): patients are admitted directly politraumatized patients requiring intensive aspects of the disability, cooperating and care plan. from the nearby hospital wards for acute cases. rehabilitation. continuously comparing results obtained from Recovery potential allowing, the patient’s – Amputated patients (due to traumatic or the various practitioners; the use of validated stay may extend to a few months. The level of ischemic causes): we treat patients in the and standardized protocols that have been recovery defines the future of these patients post-acute stage when they are transferred developed with the support of the National in view of social reintegration is having them directly from hospital wards, and embark on Guidelines for Rehabilitation and in accordance transferred to suitably equipped long-stay their prosthetic rehabilitation journey. with the recommendations of both national and facilities. – Patients suffering from immobilization international Scientific Societies of the single – Patients suffering from the after effects of syndrome due to surgery or severe clinical sectors; the continuity of the therapeutic medullary injuries: these patients have a history pathologies: we treat patients in the post-acute program; the active involvement of the patients of more or less recent traumas and/or infective/ stage, who are transferred directly from hospital and their families regarding the reduced vascular pathologies. They have extremely wards and have disabilities requiring complex functional reserves, the psychological attitude of variable clinical pictures, and are more or less rehabilitation. both patients and families. stabilized. – Patients suffering from severe osteoarticular – Patients suffering from neuromuscular pathologies (such as polyarthrosis, rheumatoid pathologies: these are mainly patients arthritis): patients who come to our Institute with peripheral neuropathies, myopathies, due to an aggravation of their clinical picture motoneuron diseases, etc. causing a loss of their functional autonomy These patients sometimes require repeated and, according to the physiatrist, requires stays due to the progression of their pathologies. hospitalized rehabilitation. – Patients suffering from neurodegenerative pathologies: according to the positioning of the injuries to the nervous system it is possible 6 7 The programs Specific techniques on locomotor function in patients suffering patient can take part in everyday occupations from Parkinson’s disease. In many patients a whether the lost function causes temporary or The Neuromotor Rehabilitation program is Neurocognitive Rehabilitation specialist evaluation provides clear instructions permanent inability. organised as follows: The rehabilitation treatments offered at our for the use of this device in conjunction with In many cases Occupational Therapy represents facility are in line with the principles of Cognitive exercises traditionally carried out in the gym. a bridge between hospitalization and 1. An evaluation of the patient’s clinical situation Therapeutic Exercise and are performed by Simple and safe, the exercises include having reintegration into society, since it minimizes the and existing problems requiring a diagnostic physiotherapists with specific professional the patient